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1 <br /> BN GROUNDWATER PURGE AND S <br /> _ AMPLE CORM <br /> EP,o,ectNo <br /> me C�xbN Well No (A) to G <br /> Date G- Zn' r o <br /> 5/S n� �=2 / �U�� Personnel <br /> 1 <br /> GAUGING DATA <br /> Water Levu Measuring Method Measuring Point Description TCY' <br /> WELL Total Depth Depth to Water I Water Column Multiplierfor Casmg Total Req'd <br />' Volume Purge Volume <br /> VOLUME (feet) _ (feet) (feet) X Casing Diameter (gal) (gal) <br /> CALCULATION I — + — <br /> �l. S � ( � . L) Cj •�J 2 1 a 6 3 5 � - Iv tot <br /> II 01610641144 1 <br />' PURGING DATA <br /> Purge Method V C A-ukYn ?r?P-Cz KPurge Depth SCR-EF61 J Purge Rate Ll <br /> u i . o I I I l <br /> Volume Purges(gal)' <br />' phl i I <br /> �Specrfic Conductivrty,Uhl <br /> Turbidrty/Color <br /> rCasingVotumesRemoved.�L �� � I I I <br /> - <br />' ;Dewatered? <br /> Comments/Observations <br />' SAMPLINGDATA Time Sampled 123ej / <br /> P Approx Depth to Water During Sampling <br /> Comments <br />' Y <br /> Sample Number of Container Fltled Shipped Under Chain Anal sIs <br /> Number Containers Type Preservative of Custody ata C Y <br /> mL or L} Tv�'d'tY Calor �) nseriod Comments <br /> M W I Ivaa Hct_ I ML- <br /> Volume I tet! I 9 arra <br /> i � I <br /> I I I I I <br /> Total Purge Volume _ �?+q�?NS Disposal/ContainmentMethod -PZAJ P 7-0 R-DA'tt,c_ <br /> eatherConditions <br /> ondition of Well Box and Casing at T e of Sampling <br /> Well Head Conditions Requiring Correction(locks,damaged casing or well box,etc) <br /> Problems EncounieredDunng Purging and Sampling 61 <br /> Comments <br /> PMS PRGI.TEW F0R&1&PVRGE1M <br />